How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $398.11 Median $2,691.53 Typical High $3,890.45 | Facility | None | $398.11 | $2,691.53 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $85.11 | Professional | None | $74.13 | $79.43 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $10,964.78 | Facility | None | $588.84 | $1,174.90 | $10,964.78 |
United Setting Facility Modifier None Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Facility | None | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $169.82 | Professional | None | $77.62 | $117.49 | $169.82 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $39.81 Typical High $42.66 | Professional | 52 · Reduced service | $37.15 | $39.81 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $14.79 | $15.85 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $11.75 Typical High $12.88 | Professional | 55 · Aftercare only | $10.96 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $7.94 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.41 | $7.94 | $8.51 |
Where Louisiana sits
The same service costs 30.9 times more in California than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 28th of 51
$447
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.